• Title/Summary/Keyword: 암 전이

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Ultrasonographic Features and the Diagnostic Role of Core Needle Biopsy at Metastatic Breast Cancer in the Thyroid gland: A Case Report (갑상선에 생긴 전이성 유방암의 초음파 소견 및 중심부 바늘 생검의 진단적 가치: 증례 보고)

  • Dong Hyun Lee;Ra Gyoung Yoon;Jin Kyung An;Jeong Joo Woo
    • Journal of the Korean Society of Radiology
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    • v.81 no.3
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    • pp.719-725
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    • 2020
  • Metastases to the thyroid gland have rarely been reported in clinical settings, and the thyroid gland is an uncommon site for breast carcinoma metastasis. We report a case of a 64-year-old breast cancer patient diagnosed with metastatic breast carcinoma in the thyroid gland after performing ultrasonography (US)-guided core needle biopsy (CNB) and subsequent total thyroidectomy. On US, the thyroid lesion appeared to be mildly enlarged with multiple internal hypoechoic lines and a few microcalcifications without mass formation. Under US-guidance, CNB was performed by targeting the area with microcalcifications and subsequently diagnosed as metastatic breast carcinoma. Total thyroidectomy revealed that the patient had metastatic invasive ductal carcinoma of the breast with lymphatic spread involving both lobes and the isthmus of the thyroid gland. Although the thyroid gland is an uncommon metastatic site, the unusual features of thyroid metastasis can be observed on US; thus, US-guided CNB effectively aids the diagnosis of thyroid metastasis.

Heavy Metal Pollutions of the Top Soil Plants and Stream Water from the Serpentinite Area Chungnam (충남 사문암 지역 토양 식물체 및 계류의 중금속 오염)

  • 김명희
    • Korean Journal of Environment and Ecology
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    • v.14 no.2
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    • pp.119-126
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    • 2000
  • 충남 사문암 지역인 광천, 홍성, 백동, 대흥 및 유구지역의 토양, 식물체(참억새, 쑥, 리기다소나무) 및 지표수, 갱내수의 중금속 함량을 분석한 결과 사문암 토양의 Ni, Cr 및 Co 원소가 변성암 토양에 비하여 10~13배높았으며 이 원소들이 serpentine factor로 생각된다 사문암 지역간에는 이들원소의 차이가 뚜렷하지 않았다 변성암 토양식물에서보다 사문암 토양 식물에서 Ni, Cr, Co등이 높았다 리기다소나무의 원소 흡수량은 비교적 낮았고 3종 식물에서 대체로 뿌리의 원소 함량이 지상부 함량보다 높았으며 사문암 토양에서는 Ni, Cr, Co, Mo, Sc, As 및 Fe 원소들이 쑥보다 참억새에서 높았다 사문암 토양에서 생육하는 식물체 지상부의 생물학적 흡수계수는 Ni, Cr, Co, Zn, Sc, As 및 Fe 원소는 참억새에 높고Zn은 쑥에서 높았다,. 사문암 토양에서 뿌리로부터 지상부로의 원소 전이는 Ni, Cr, Co, Zn As 및 Fe 원소에 대해 쑥에서 높았고 Mo와 Sc 원소는 리기다소나무에서 높았다. 따라서 사문암 토양에서 참억새가 중금속의 흡수율은 높고 중금속에 대한 내성은 강할 것으로 사료된다 대흥지역에서 광산의 오염이 지표수 및 갱내수의 Ni. Cr, Co, Zn 및 Fe 등의 원소 농도를 높게 하였으며 비오염 계류는 오염계류의 원소 농도를 희석시켰다.

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Mediastinal Lymph Node Metastasis from Head and Neck Cancer: Predictive Factors and Imaging Features (두경부암의 종격동 림프절 전이: 예측인자 및 영상 소견)

  • Il Kwon Ko;Dae Young Yoon;Sora Baek;Ji Hyun Hong;Eun Joo Yun;In Jae Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1246-1257
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    • 2021
  • Purpose To assess the predictive factors and describe the imaging features of mediastinal lymph node (MLN) metastases in patients with head and neck cancer. Materials and Methods We compared the clinical features and disease characteristics (sex, age, site of primary tumor, histologic type, history of prior treatments, TNM stages, and metastasis in cervical LNs) of patients with head and neck cancers between the MLN metastasis and no MLN metastasis groups. We also evaluated the chest CT (distribution and maximum dimension of the largest LN) and PET/CT (maximum standardized uptake value) features of MLN metastases based on the MLN classification. Results Of the 470 patients with head and neck cancer, 55 (11.7%) had MLN metastasis, involving 150 mediastinal stations. Hypopharynx cancer, recurrent tumor, T4 stage, N2/N3 stages, and M1 stage were found to be significant predicting factors for MLN metastasis. The most common location of MLN metastasis was ipsilateral station 2 (upper paratracheal LNs, 36.4%), followed by ipsilateral station 11 (interlobar LNs, 27.3%) and ipsilateral station 10 (hilar LNs, 25.5%). Conclusion Metastasis to MLNs should be considered in patients with head and neck cancer, especially in cases that are associated with a hypopharyngeal cancer, recurrent tumor, and high TNM stages.

Metastasis of Poorly Differentiated Thyroid Carcinoma to the Sternum: A Case Report (복장뼈로 전이된 저분화 갑상선암: 증례 보고)

  • Hae-Jung Kim; Inyoung Youn
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.939-944
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    • 2020
  • Sternal metastasis of poorly differentiated thyroid carcinoma (PDTC) is rare, and only a few cases have been reported in the literature. Here, we report a case of sternal metastasis of PDTC in an 83-year-old woman, 2 years after right hemithyroidectomy, treated with sternal resection and reconstruction.

Metachronous Contralateral Axillary Lymph Node Metastasis from Invasive Breast Carcinoma: A Case Report with Imaging Findings (침윤성 유방암의 이시성 반대쪽 액와 림프절 전이: 영상 소견을 포함한 증례 보고)

  • Jieun Kim;Hyun Kyung Jung;Woogyeong Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.239-245
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    • 2022
  • Contralateral axillary lymph node metastasis is a rare entity in breast cancer and is currently classified as a distant metastasis; however, recent studies have proposed aggressive curative treatment since this entity may manifest as a locoregional disease. Herein, we report a rare case of contralateral axillary lymph node metastasis that presented with imaging findings 22 months after the initial breast cancer diagnosis in a 67-year-old female. The patient underwent lymph node dissection of the axilla with adjuvant chemotherapy and radiotherapy. A follow-up examination 6 months after surgery showed no evidence of tumor recurrence or metastasis.

Effect of Radiotherapy on Chromosomal Aberration in Cancer Patients (암환자에서 방사선치료에의한 염색체이상)

  • Chun, Ha-Chung;Lee, Myung-Za;Yoo, Myung-Soo
    • Radiation Oncology Journal
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    • v.11 no.1
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    • pp.43-50
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    • 1993
  • We evaluated frequency and types of chromosomal aberrations by ionizing radiation in cancer patients treated with radiotherapy in our institution. Twenty-five patients with various types of carcinomas such as lung, uterine cervix, esophagus, rectum, head and neck and pancreatic cancers were studied immediately before and after external beam radiotherapy. The frequency of aberrant metaphase prior to treatment was $4.93{\%}$, which was higher than that of control group. Especially in lung cancer, the freuqency of aberrant metaphase was three times higher than control group. A comparison of chromosomal abnormalities observed before and after radiotherapy demonstrated that proportion of aberrant rnetaphases was significantly inreased to $22.13{\%}$. Major chromosomal aberrations like structural abnormalities showed remarkalbe increase from 65.45 to $88.45{\%}$ after the treatment. Also the numbers of chromosomal alterations per cell were increased by a factor of 6.5. Aberrations with two or more break points were more prominently increased, compared with aberrations with single break point. The number of chromosomal break points was noted to be higher than expected value in No.1, 3, 8 and 11 chromosomes and lower in No.13, 15, 17 and 21 chromosomes. Based on this study, we believe that the distribution of chromosomal breakage is related with gene and chromosomal rearrangement which could result in the development of cancers.

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Effect of Lindera obtusiloba extract on cancer metastasis (생강나무 추출물의 암전이 억제효과)

  • Yun, Hyuk;Lee, Yong-Jae;Seo, Hyun-Won;Park, Kyoung-Jae;Ko, Ha-Neul;Cha, Dong-Seok;Kwon, Jin;Jeon, Hoon;Kim, Kang-San
    • The Journal of Internal Korean Medicine
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    • v.33 no.4
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    • pp.405-417
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    • 2012
  • Objectives : In the present study, anti-metastatic properties of the methanol extract of L. obtusiloba (MLO) were evaluated. Methods : To determine the effect of MLO on cancer metastasis, we checked matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-9 (MMP-9) activities and expressions in B16F10 melanoma cells. In addition, we performed cell migration assay as well as invasion assay using Matrigel. Finally, we used an in vivo lung metastasis model to confirm the anti-metastatic activity of MLO. Results : 1. MLO showed potent inhibitory effects on MMP-2 and MMP-9 activities and expressions via down-regulation of activation of NF-${\kappa}B$ in B16F10 melanoma cells. 2. Melanoma cell migration and invasion were down-regulated by MLO treatment. 3. Not only in vitro model, but MLO also significantly suppressed lung metastasis in vivo. Conclusions : The present results indicate that MLO has strong inhibitory effect on cancer metastasis. Therefore, L. obtusiloba could be a valuable anti-metastatic agent.

A Clinical Observation of Oriental Medicine-Based Long Care for Terminal Rectal Cancer Patient with Multiple Metastasis

  • Bang, Sun-Hwi;Son, Chang-Gue
    • The Journal of Internal Korean Medicine
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    • v.29 no.3
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    • pp.567-573
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    • 2008
  • Cancer is now the leading fatal disease in every developed country. Due to very low efficiency of conventional cancer therapeutics and important aspect of quality of life (QOL), complementary/alternative medicine (CAM) has been accepted worldwide, especially by late-staged cancer patients. Oriental medicine traditionally has stressed not only the tumor itself but the body having cancer, improving cancer-related immunity and extending survival period. Herein, we report one case of a terminal staged rectal cancer patient having spread-metastasis but showing a meaningful clinical course of around four years with Oriental medicine therapies. This study aimed to report the clinical capacity of Oriental medicine for patients with cancerous disease, to help development of Oriental medicine-derived anticancer treatments.

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A Case of Thyroid Papillary Carcinoma Metastasizing to the Brain (뇌 전이를 보인 갑상선 유두암 1예)

  • Yoon Jung-Han;JaeGal Young-Jong;Kim Jae-Hwu;Kim Sae-Jong
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.2
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    • pp.235-240
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    • 1996
  • Brain metastasis is extremely rare in thyroid papillary carcinoma which has an indolent clinical course and results in good prognosis. A 24-year-old man presenting with seizure attack is described. He had been treated under the diagnosis of thyroid papillary carcinoma with total thyroidectomy, postoperative internal radiation with radioactive iodine, and thyroid hormone replacement. Although $^{99m}$Tc brain spect and $^{131}$I whole body scan did not revealed any significant lesion, brain CT and MRI showed lcm sized mass in frontal lobe. Stereotactic craniotomy and removal of the tumor, which was histologically proven metastatic lesion from thyroid papillary carcinoma, was done with satisfactory improvement.

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